- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $1,737.80 / $17,782.79
| Facility | | $676.08 | $1,737.80 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $3,630.78 / $3,630.78
| Facility | | $3,630.78 | $3,630.78 | $3,630.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $912.01 / $4,168.69
| Facility | | $467.74 | $912.01 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $933.25 / $977.24
| Facility | | $660.69 | $933.25 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $676.08 / $676.08
| Facility | | $660.69 | $676.08 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,715.19 / $20,892.96
| Facility | | $7,079.46 | $10,715.19 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $13,489.63 / $23,442.29
| Facility | | $1,995.26 | $13,489.63 | $23,442.29 |